Prognostic Significance of Micturition Disturbances After Acute Stroke

Pettersen, Renate; Wyller, Torgeir Bruun

doi:10.1111/j.1532-5415.2006.00984.x

Cited by 65 publications

(58 citation statements)

References 28 publications

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“…91 Impaired awareness of urinary incontinence is correlated with mortality 92 and the need for nursing home care 3 months after stroke. 93 On a positive note, many patients recover continence after stroke. Because of the risk of skin breakdown, the social stigma, and the burden of care associated with incontinence, management of bowel and bladder continence is an essential part of the rehabilitation process.…”

Section: Treatment Of Bowel and Bladder Incontinencementioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Treatment Of Bowel and Bladder Incontinencementioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

View full text Add to dashboard Cite

show abstract

“…100 Poststroke urinary incontinence must also be addressed given that when persistent and associated with other disabilities and institutionalization, it is a strong predictor of survival and recovery at 3 months. 290,291 Management choices are based on the type of poststroke incontinence (eg, neurogenic bladder, urinary retention, hyperreflexia with urge incontinence). Because few RCTs have evaluated treatments for poststroke urinary incontinence, Borrie 292 advocated a stepwise approach; that is, nursing should initiate management via a behavioral bladdertraining program (eg, offering the commode, bedpan, or urinal every 2 hours while the patient is awake and every 4 hours at night; limiting fluids in early evening), progressing to medication only when needed, and as a last alternative, surgical intervention.…”

Section: Bladder and Bowel Issuesmentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Miller¹,

Murray²,

Richards³

et al. 2010

Stroke

685

412

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“…When excluding the 31% of the 315 patients who had prestroke UI (admitted within 10 days after stroke), the admission prevalence of new-onset UI was 21% [16], or about half the prevalence of UI if prestroke UI and indwelling catheterization were not excluded (40%-45%) [14•, 15, 19].…”

Section: New-onset Uimentioning

confidence: 99%

Prevalence of Incontinence During Rehabilitation in Patients Following a Stroke

Kovindha

Wyndaele

Madersbacher³

2010

Curr Bladder Dysfunct Rep

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According to current studies, the prevalence of urinary incontinence (UI) ranges from 25% to 45%, while prevalence of poststroke or new-onset UI ranges from 21% to 56% and is higher among older adults. On admission to postacute rehabilitation, double incontinence (UI with fecal incontinence [FI]) is more prevalent (33%) than isolated UI (12%) and isolated FI (8%)-figures that decrease at discharge from stroke rehabilitation (double incontinence, 15%; isolated UI, 8%; isolated FI, 5%). Impaired awareness of UI is more prevalent (ranges from 12% in young old group to 58% in older age group) than urge UI (9-42%) and seems to be a more specific prognostic indicator of poor functional outcome. Therefore, rehabilitation professionals should place more attention on impaired awareness of the need to void and double incontinence during stroke rehabilitation.

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Prognostic Significance of Micturition Disturbances After Acute Stroke

Cited by 65 publications

References 28 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Prevalence of Incontinence During Rehabilitation in Patients Following a Stroke

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